Client Forms

708-963-0333

support@thrivinglivescounseling.com

Client Forms

If you are new, please print out and fill out these intake forms to bring with you to our first session. If you don’t have access to a printer, these forms can also be filled out during the first session.

Client Intake Form

HIPAA Notice

Emergency Services Form

Credit Card on File

Informed Consent to Treat a Minor (as needed only)

Release of Information (as needed only)

Informed Consent for Teletherapy

Teletherapy Session Guidelines



support@thrivinglivescounseling.com
708-963-0333


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